Individual provider · Type 1 NPI
Tiara Mattox
Child Intellectual and/or Developmental Disabilities Respite Care · Bronx, NY
NPI number
1194477901
Active
Practice location
120 Casals Pl Apt 13C
Bronx, NY 10475-3138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1194477901
Tiara Mattox's National Provider Identifier is 1194477901, issued on Jan 23, 2022. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Bronx, NY. The record was last updated on Jan 23, 2022.